卡塔尔中年人群的高血糖与认知能力较差有关:一项横断面研究。

IF 2.7 Q3 ENDOCRINOLOGY & METABOLISM
Ashraf I Ahmed, Mohannad Natheef AbuHaweeleh, Aya Abdelhamid, Yazan Al-Dali, Hissa Al-Suwaidi, Yousef Khaled, Tawanda Chivese, Laiche Djouhri
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引用次数: 0

摘要

背景:卡塔尔的糖尿病(DM)患病率是世界上最高的。糖尿病已被证明与老年人许多认知功能领域的表现下降有关。在这里,我们试图确定这种关联是否也存在于中年队列中。研究设计和方法:采用卡塔尔生物银行981名年龄在40-65岁的参与者的数据进行横断面研究。我们分析了血糖指标:糖化血红蛋白、血清葡萄糖、胰岛素水平、腰围和腰臀比。认知功能评估使用CANTAB的两个领域:配对情景记忆(视觉记忆)和反应时间(运动和心理速度)。结果:我们发现糖尿病与认知障碍之间存在显著关联。不良反应速度与糖尿病(β 36.80, P < 0.01)、HbA1c升高(β 10.73, P < 0.05)、腰围增大(β 1.70, P < 0.001)、腰臀比增大(β 252.56, P≤0.01)有关。记忆力差还与腰围和腰臀比增加有关。结论:先前在老年人群中报道的糖尿病及其生物标志物与认知障碍之间的负相关在中年人群中也存在。需要进一步的研究来探索血糖异常对其他认知领域的因果关系和影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hyperglycemia is associated with poorer cognitive performance in a cohort of middle-aged people in Qatar: a cross-sectional study.

Background: Diabetes mellitus (DM) prevalence in Qatar is among the highest worldwide. DM has been shown to be associated with reduced performance on numerous domains of cognitive function in elderly population. Here, we sought to determine whether such association also exists in a middle-aged cohort.

Research design and methods: A cross-sectional study was conducted using data from 981 participants aged 40-65 years from the Qatar Biobank. We analyzed glycemic indices: HbA1c, serum glucose, insulin levels, waist circumference, and waist-hip ratio. Cognitive function was assessed using two domains of CANTAB: the paired episodic memory (visual memory) and reaction time (motor and mental speed).

Results: We found significant associations between DM and cognitive impairment. Poor reaction speed was linked to DM (beta 36.80, P < 0.01), higher HbA1c levels (beta 10.73, P < 0.05), larger waist circumference (beta 1.70, P < 0.001), and higher waist-to-hip ratio (beta 252.56, P ≤ 0.01). Poor memory performance was also associated with increased waist circumference and waist-to-hip ratio.

Conclusion: The negative association between DM, its biomarkers, and cognitive impairment reported previously in elderly populations also exists in middle-aged individuals. Further research is needed to explore the causality and impact of dysglycemia on other cognitive domains.

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来源期刊
Expert Review of Endocrinology & Metabolism
Expert Review of Endocrinology & Metabolism ENDOCRINOLOGY & METABOLISM-
CiteScore
4.80
自引率
0.00%
发文量
44
期刊介绍: Implicated in a plethora of regulatory dysfunctions involving growth and development, metabolism, electrolyte balances and reproduction, endocrine disruption is one of the highest priority research topics in the world. As a result, we are now in a position to better detect, characterize and overcome the damage mediated by adverse interaction with the endocrine system. Expert Review of Endocrinology and Metabolism (ISSN 1744-6651), provides extensive coverage of state-of-the-art research and clinical advancements in the field of endocrine control and metabolism, with a focus on screening, prevention, diagnostics, existing and novel therapeutics, as well as related molecular genetics, pathophysiology and epidemiology.
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